No preview available

The URL can be used to link to this page

3740 Knoll Ridge DrBLDG. PERMIT N0. 01-3210 Bldg. Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Tzmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL 0 CASH RECEIPT 0 CITY OF EAGAN . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 -?" , RECEIV6q //' FR0/4?rV' ?C. . AMOUNt . $ ?? I ' & DOLLARS too `- • White-PaYers CoPV Yellow-Posting Copy Pink-File Copy Thank You B Y l ?_ ?? ? CASH RECEIPT ? CITY OF EAGAN • ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? i 1g ? I necE1vec FROM AMOLNT $ ?-- Ee DOLLARS 7 oo E]CASH q CHECK FOR I . . I ?? `. NUND CODE AMOUNT i 1 ? i I! 1 ? L Thank You N9 7791. 57, BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition ROSE HILL ADDITION Lot- Owner Street 3740 Krioll _Blk 1 Parcel 1v v-rvvv v Drive Eagan, MW 55122 Improvement Date Amount Annual Years $L Payment Receipt Date STREETSURF. 1986 2874.29 574.86 -2 -2 . STREET RESTOR. GRADING SAN SEW TRUNK 1985 576.80 38.45 15 SEWER LATERAL 1979 sew, ss, w lats se 1986 .6089.26 1717-85 9 , WATERMAIN WATER LATERAL ? 9179 WATER AREA 1985 576.80 38.45 15 4.?? t-I ? STORM SEW TRK 19$5 1067.00 71.13 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET IIGHT WATER CONN. BUILDING PER. SAC PAR K . ? _ . . . CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 PHON E: 454-8100 BUII.DING PERMIT Receipt ? Td b,e"used for Est Value i- ' Date ,19 Site Address ' OFFICE USE ONLY Lot BlOCk SBC1Sub. On Site Sewage _ Occupancy MWCC System _ 2oning Parcel No. On Site well _ 7ype of Conat City Water _ (Actuan NAmo (Allowable) 3 Addee35 * of Sto?ies Length ° City Phone ' Depth Total S F , p Name . . Footprint S.F. z 0 ` Address _ APPROVALS FEES 1- City Phone Assessments _ Permit F ¢ F W Name water/sewer Police _ surcnarpe _ Plan Review z i - Address Fire - SAC, City u= - Engc _ SAC. MWCC C W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformatiOnisCOrt'eCtandagreetocomplywkhallappliCable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks Copies Si9nature of Permlttee TOTAL A Building Permit is issued to: on the express condition thet all work shall be done in accordance with all epplicable State of Minnesota Statutes and Ciry of Eagan Ordinancea Building Official Permft No. Psrmit Holder Date Telephone ? Plumbing ? H.V.AC. ! i L?-L Electric - Softener Inspectlon Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. _36 ? Rough Htg. 0 Isul. Fireplace / 041 Final Htg. Final Plbg. Bidg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. WeII Pr. Disp. . _ , PERMIT # PLUMBING PEAMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRAC'x PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ' Block SeC/Sub Res. New m Name Mult Add-on .S Address Comm. Repair c City Phone ' Other _ Name 3 Address O CitY FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMMIIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) / - . SIGNATURE OF PERMITTEE NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 .T_Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 SoRener - $5.00 wen - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: FOR: CITY OF EAGAN MECHANI L PERMtT RECEIPT # ? CITY O AGAN C, 3830 PILOT KNOB RO D, EAGAN, MN 55122 DATE: Site Ad ess `' J + ? Lot Block Sec/Sub BLDG. TYPE WORK DESCRIPTION Res. New I m NamM --- Muit Add-on Comm. Repair Co. 76 Addr"s c City ?0 ? ANE TRA?one _ Other INVER E HTS., MN 5507 FEES ? Name ' ? V RES. HVAC 0-100 M BTU - $24.00 ? c AddrES9,r? ADDITIONAL 50 M BTU - 6.00 p City Phon? (RES. HVAC iNCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForCed Air ? G M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMOOELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE _ 20.00 STATE SURCHARGE PER PERMIT .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 0 BEYOND $1,000) Other FEE: s- - • • ' S/C: o S1GN/#TURE OF PERMITTEE TOTAL: ~?7 5 ? FOR: CITY OF EAGAN CITY OF EAGAN 3630 Pilat Kncb ? O. Box 21199 gan; MN 55121 wner lliiui e Ad dress:- mber. Conn. Chg: 525. OOPd.??_W1%Vn9: . . Acct Dep: 1-`•.l?Gn? A:n0"^0 ra?j 16[t8ldf?i?s` - Permit Fee: IR?C Surcharge: • ? - ? ??e@ t? ?plY wiih Ihe City of Eagan • Tr. Plant ?^? Meter. /1,?? ,.?.,??i?? Misc.: Brf? - WATER SERVICE PERMIT CITY OF EAGAN 3630 Pllot Knob Road Eagan, MN 5512i Permit No:_ P.O. Box 21199 Meter No: _ Reader No: r. 5ite Address: „ ?.. ,.....?.? ?. ?,ruc+`?ue? Zer -. - -•-- - - - , Flumb3n - plumber. : Ch C nn 5'?5 •?U' '' Zoning: g . o ? Acct Dep: 15.0 4 :? No. of Units: rmitFee: P i'0? C11 e , •5Q d I agree to comply wllh the Ciiy of Eagan Surcharge: Tr. Plant 15i? . 049c', Ordinances. Meter. rj7 CITY OF EAGAN SEWER SERVICE PERMIT 3630 Piiot Knob Road p??MIT Na.: -- p p, Box 21199 DATE: Eagan, MN 55121? 1 Zoning: a'? No. of Units: ?ruce Marcia ?Brekke Conneciion Charge: wrih ?a?lry of F.a98n l m p co Y agree to , pccount Deposit: tnances. lyd permit Fee: ?- Surcharge: r- Misc. Charges: r-- 3y Total: Date of Insp.: pate Paid: q Insp.: Date: 9-9-87 Permit No: Road Meter No• ' ? -5 Size: Reader No: O Daie: v ' 8$ WOW am? 9021 , . . . (ttxtif iratp uf (Orrupttnry titp of (Eagan apprtviPttf of lltilbttto jwPl'#iOtt Tlrfs CertrJtcate issued pursuant ro the reguirements of Seclion 306 of the Uniform Building Code certlfying that at the time of issuance this structure was in compliance with the various ordinances of tlee City regulaling building conslructiort or use. For the following: U. Chsafinuoo "F 7JrRS:?_'' Bldg. fbrmit No. I3cxT? 0-pa-y rra ZoniaB Dwxwt "i ,?. Type Cma 0 owna CtaMMM 3 Ww..r_" ;9wi:7- ? naa,,. 1329 J C?n'.;Y IW8. EtM ?'•"?>0 ti.^r?C? ?Zi? ??: J! ;,=; E? l-1?IL Alnl i?? guildn AMms . _ , Locshty , . ' -MlA o.u: ? RY 26, Building O(6da POST IN A CONSPICUOUS PLACE CITY OF EAGAN No- 138 3 4 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55127 BUILDING PH ONE: 454-8100 7?oq,D PERMIT Receipta / Tobeusedfor SF DWG/GAR EsLValue $158,000 Date .TUNE 29 ,1987 SiteAddress 3740 KNOLL RIDGE DR Lot $ Block 1 Sec/Sub. ROSE HILL ADD Parcel No. BRUCE & MARCIA BREKKE ? Adtsress - 132 JURDY RD °? City EAGAN phone 454-7302 o Name SAME ?Q Address ? City Phone ww Name PLANCO INC _? Address 3435 WASHINGTON AVE aW City EAGAN Phone 452-0724 I hereby acknowledge that I heve read this application and state I that the information is conect and agree to complywith all apDlicable Stale oi Minnesota Statute and City of Eagan OrdinanCes. 5ignature of Permittee ?d.?! A euilding Permit is issued to: BRUCE & MARCIA BREKKE all work shall be done in accordance with all appl' abl tate of M Building Official ---Ar OFFICE USE ONLY OnSiteSewage Occupancy R3 - MWCCSystem J Zoning R1 On Site Weu Type of Const v_ Ciry Water X (qctuaq (Allowa6le) ? # of Stories Length Dep[h ?(•/. S.F. Total FootDrint S.F. APPROVALS FEES ? 677.$0 Assessments _ Permit Water/Sewer _ Surcnarge 79, 00 Police PlanReview "A"iA_75 Fire _ SAC, City 7 flfl !lp Engc _ SAC,MWCC 575_00 Planner WaterConrt 595_(l0 Council _ WaterMeter 67.00 Bldg Off. _ Road Unit 305, 00 APC Treatment P1 1 Rn np Varience _ Parks Copies TOTAL 5 on the express conditfon that Statutes and City of Eagan Ordinances. /'1?,31F?2 REQUEST FOR ELECTRICAL INSPECTION / See instruchons for comolatmg lnis lorm on beck ol Vellow copy. ? 6"9 4 7 2 "X" Be/ow Wark Covered by 7his Request EB-C00001-06 AdJ fleo. Tvpe ol Bmleine Aool,ancm wired Enuiumam Wven Home Range ' Temporary Service Duplex Water Heater Lighhny Fixtures Apt. Bwldinq Dryer Electne Heatin Commercial Bidg. Fumace Silo Unbade.r Inclustnal Bldg. Air Condrtioner Bulk Milk Tank Farm otnr, oc,i v Oiher ISnec,fyl t r Suemfy Other O?h?r ompu[e lnspection Fee Below N Fee Service Enbonce5iae d Fee Feeders/5ubfewders b Fre Cucwts 0 to 200 Amps 0 to 30 qm s ? 0 to 30 An >s Above 200 Arnps 31 to 100 qmps 31 to 100 Am p Swinming Pool Above 100_Amps Above 100_Ampy Transrormers Irngation Booms Partia6"Other Signs SUecial Inspection Sy'? ? p TOTAL FE pe?rks J t !'? HouBh-in [he Elecv? ns0ector, hereby cer?i?y that the above Final D nt e. mspeetmn has been ? / Thia repuest voitl 18 monlhs Irom ? Th.s reQUest vmd 18 nwnths fmm 6-9472 Fe sst Uate ire N& flooph-m Inspecbon R;.W ?/ Reqwre ?HeaAy Now IT Nntity Inspec- ?No [or When fleady ? ? es I icensed Elec[nr,al ConVactor I hereby requestinspacvon ot above ? Owner electrical work mstalled ei: S??ddres ?x or Route o. c?? g g*? ect?on o. Township Name or No. ange No. Coun[y Occupa I P T) 'm?? Ph ie No. 4-790 9. Power Sup Iner Adtlrrss 6 ,? .?? Q 8 EI 1 c or ComDany Namel ???1???? ELEClRiC Cn v ? actor's Lmense No. p r' Ma?M1ng r ( ri?ta oi'pf.'DWere?lMnk?? ?a?s?a?leuonl A.uffior¢e tu e /p qd atwn) Phnne Numbar MINNESOiA STATE 90ARD OF ELECTflICITY . THIS INSPECTIDN REQUEST WILL NOT Griges•Midwey Bldg. - Poom N•191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St Paul, MN 55104 UNI.ESS PROPEN INSPECTION FEE IS Phone(6t2)642-0800 ENCLOSED. ?L RESIDENTIAL BUILDING PERMIT APPLICATION J CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 659-681•4675 Naw ConaUUCUon ReauiremeMs • 3 registered site surveys slwwing sq. R of lot, sq, ft. of Iwuse; and all roofed areas (20% maximum lol coverege allowed) • 2 coples of plan showiig beam 8 window s¢es; poured found design, etc.) • 1selMEnergyCalculations • 3 copies W Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options seleIXbn sheet (61dgs wilh 3 or less units) DATE -t- 8 U -Z- SITE TYPE ?ULTI-FAMILY BLDG _Y t!N FIREPLACE(S) _ 0 ?1 _ 2 APPLICANT /tti--!• .LVI(%• STREETADDRESS •S CITY ?)vs0Sviltc STATENI_uJ ZIPr-r33-+_ TELEPHONE # ?qs??U?--6c1SyCELL PHONE # FAX #?G??",?=L?? ? PROPERTYOWNER'?wUCe. LfC?K? TELEPHONE#Ks-f) 4 5-N-33oz ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Cotie Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNP:S01'A RLJLL:S 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing system includes: Mechanical Confractor: Mechanical system includes: Sewer/Water Contractor: RemodellReoair ReCUlrements • 2 copies of plan 7 set af Energy Calculations for heated additions ? • lsitesurveyfore#erioraddilions&decks • Indicate if home served by seplic system for additions VALUATIOtJ-W'1 l ? I?? _ Water Softencr Water Heatcr _ No. of Baths Air Condirioning Heat Recovery System Phone # , Iawci Sprinkler No. of R.I. Baths Phone # Phone # ree: $70.00 -°----------------------------------°-----°----------------°-------°-----°-------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and al with all applicable State of Minnesota Statutes and City of Eagan Ordinapces. 11?14 Slgnature of Applicant s OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors O 34 Replacement 'Demolltlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (newbldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsWetion Reauirements • 3 registered site surveys showirtg sq. ft. oS lot, sq. ft of house; and atl moted areas (200/o maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservafion Plan'rf lot platted after 711193 • Rim Joist Delail Oplions SeleCtion sheet (bldgs with 3 ar less units) RemodellReoair Reauirements . 2 copies of plan ? • 1 set of Eneyy Calculations for heated additions ? • isilesurveyforexterioraddXions&dacks • Indicate if home sened by sepfic system for additiore DATE -?"a UZ- SITE TYPE ULTI-FAMILY BLDG _Y V/N FIREPLACE(S) _ 0 zi _ 2 APPLICANT IkY?- T.V1C• STREET ADDRESS \11y-+ N lCo1?e,? NE• S CITY '60d1lSv? tl, c STATE NI_W ZIP rS-33-:?_ _ TELEPHONE # 00CELL PHONE # FAX #?°?'??`??.7-!?????- ` PROPERTYOWNER'?WVCC-. IICz.??- TELEPHONE#(Cr?Ns4-33az ------°--------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cocle Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNF.SOTA RUI,1S 7672 (4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submi[ted . Energy Envelope Calculations Suhmitted Plumbing Contractor: ______ Phone # 21T Plumbing system includes: _ Waler Softener Lawn Sprinkler ?je• p ? Water Heater No. of R.I. Baths ? No. of Baths BY Mechanical Contractor: Phone # Mechanical system includes: _ Air Condilioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # --------------------------°--------------------------------°--•-----°---°---°------•---°---------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agre comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. , / G i Signature of Appllcant ' s ________--------------_------------ ---_---°----------------------------------------------------- °------------ OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4102 VALUATIOA OFFICE USE ONLY r ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 38 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex ? 12 12-plex PIbg,Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Fountlation) ? 45 Fire Repair ? 33 Alteration ? 37 Demofish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPEC710NS _ Footings (new bldg) FinallC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain TIle pther Roof _ Ice & W ater _ Final _ Pool Ftgs _ Air/Gas Tests _ Fina1 _ FIamin6 _ Siding Stucco Stone _ Fireplace , R.I. _ Air Test _ _ Final _ Windows (new/replacexnent) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION !KYPS': PAYMK3IP OF FEE AT TIME OF APPLIcATIorr nors Mr oorSrr= APPI20VAL OF PERMCT. itvsPncizorr oF sEWER Arm/at WmMM iNS'LATSATTQP]$ WjI,L P1DT $E $QHED- UIkD iJNPII, PERNIIT AAS BE21 APPRUVID. • P ease Print < 1) PROPERTY ADDRESS: •- LEGAL DESCRIPTION: IF E}ffSTING STRC'CMRE, DATE OF ORIGINAL BL?ILDING PERN1iT ISSL'ANCE: ' (Nbn Year PRESEN7P ZONING/PROPOSFD C'SE: ? COI"MERCIAI./RETAIL/OFEICE ? R-1 SINGLE FAMILY C3 IML?STRIAL ? R-2 DLPLEX (1t.v Dnits) ? INSTI7L"fIONAL/GOVE?NT R-3 'It7WNFIOUSE (Three + Units) ( Units) . ? R-4 APARZMENt'/CObIDOMINIUM ( Units) 2) ? NAME: Al'(/CP AwnxESS: ? 3 2 -j CITY. STATE. ZIP: - ? PHONE: L/'j''/- 7? p 2 3) NAME: ADDRFSS: CITY. $TATEr ZIP: PHONE: - 6 2 S c.? MASTER LICENSE# 3 2 T' L-= 4) L'1l"ll•!G: P,DDRESS : CITY, STP.TE. ZIP: PHONE: riiumers t,icense: Active Expired Not recorded Sta Ir'iitial '5) ?? a• ??• :a - s - ?? oOrNECrzotv TC) ciTr sEWM ? wrNECriorr TO cixY waTER ? aiFM 6) ?? ' • i• C] PLEA,SE HOI,D APPROM PERMIT F'UR PICK-[JP BY ONE OF ABOVE ? PLF.7iSE MAIL APPROVID PERMIT TO 1, 2Xf3?4, AHOVE (Circle one) tI 1.??,/'$'s??? ?? ? 9 ?& "/Y 7) EMM c??ir=? __ _ 5 5"? 2 7 :FOR CITY USE ONLY PERMIT # ISSUED & i / Pd w/Bldg. Permit $ $. $ $ S G?7•r9f S $ $ S c S $ s (o Z S-? a-? $ c $ $ s C}io FEES: /0 -7 ? SEWER PERMIT (INCLLDE SURCHARGE) WATER PERMIT (INCLUDE SURCAARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (IIVCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRLNK WATER A55$SSMENT S TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRLNK SEWER $ LATERAL BENEFIT/TRLNK WATER $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $_ TOTAL SJ z- 271. RECEIPT RE EIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK W2THIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ?? ? /? 7 ? ? ?:5 K 7987 BQILDING PERMIT gPPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IHCGIIDE 2 SSTS OF BLANS, 3 CERTIFIC9TES OF SDRVBY, 1 SST OF ENERGY CALCQLATIONS NOTfi: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGAAYE AHICH AD?RESS IS DESIRED.! ? IVO CHANGfiS WILL HS 9LLOiN-SD ONCS BIIILDING PERMIT IS ISSOED. M[TLTIPLE DWELLIHGS - RFSZDENTIAL RSNR9L ONITS FOR SALE ANZT3 INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRPSY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMFIl:RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTiIRAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1 1 To Be Used For: 10° Valuation:-4"70? Date: Site Address Lot ig Block ? Parcel/Sub ?C-Q.2 4" Owner/l'ik/lLi ?r /1'IARC'II? f,rzlck? U Address/3911 (ZOf1-o City/Zip Code s/}6 f}Al Phone 4e7?y - 730 Contractor jR/ UGL J.nileit+Ce Addressig29 jURAu ?f!u" City/Zip Code??J6Apv, MN Phone 0 Z Arch./Engr. z . Address 3?/,3S WA51j41o/cJ?6W ?V 2_ '!? --9-E- 7 Or, Site Sewage_ Occupanry 9.3 M4dCC System ?' Zoning 9.1 On Site Well Type of Const Ci.ty Water ? (Aetual) ? (Allowable) ?- # of Stories Length (nB Depth !0 4 S.F. Total Footprint S.F . APPROYALS FEBS Avsessments Permit ?,7 7 - Wa.ter/Sewer Surch,arge 7q, Police Plan Review 133b- Fire SAC, City 100. Ecigr SAC, MWCC • -52 5- Planner Water Conn SZS Council Water Meter (07. B?.dg Off Road Unit "?06- APC Treat.ment °1 I bD. Variance Park:; Copies TOTAI. ? 7 . City/Zip Code /yp,v SSl? Z ? Phone # cf ?- (? r ?????=2(?xfZ = S?Z ? ?- (b x (? -= (go . , j?? 5 (0 <T- ' MINNESOTA STATE ENERGY CODE CALCULATIDNS BASED DN CHAPTER 5 OF THE ? • MODEL ENERGY CODE - I983 EDITION Adoption Effective 1/1/ Owner12? ^ S(te Address Contractor Phone Date 8uilding ClassiFication: Type Al (Single Family 6 Duplex)ype A2(Residential) NOTE: Complete pages 3 and 4 first. ; (3 stortes or less (Other) (Over 3 stories) GENERAL INFORMATION 1 1. Bui lding Perimeter 41N ft. 2. Wall height (ground to eave) ft. q 2• 3. I. x 2. (above) gross wal l area }i=t6fft. 4. Building dimensions (L) 'r- X (W) ft. 5. Square foot area of rim joist - Floor joist size (2 x ? )-I^) )4?4? X Perimeter = Rim oist area = 12 l?j0 6. Doors - Area 2L-51'IU Thickness Type of Construction Manufacturer 7. Total door's perime[er 8. Windows: Manufacturer ?"M, ic0e_'A'?, State approved U factor TYPE SIZE AREA (Ft.2) ' EACH 9• Total f[.Z Glass So4Id 10. Fireplace area; Width X height = _ 1,p71Zobft.2 roof E floor area NUMBER OF TOTAL FEET 2 UNITS X = Ft.2 11. Exposed foundatlon: Height X Perimeter X I'90 = I 2?1 9) F[.Z COMPLETION OF THIS FORM IS REQUIRED FOR AlL NE COFJSTRUCTION, MAJOR REMODELING AND BUILDINGS BEIP MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. k121/4 44 7 -? &-', 45;7 /JJ,c? ftZ in. U factor A +tr' 14"1 . Perimeter ft. Phone F, WORLD L I F E INSURANCE COMPANY HOME OFFICE 3003 771h Ave SE, Mercer Island. Washington 98040 MARK C. THEISEN 3435 Washington Dr. Eagan, Minnesota 55122 Bus: (612) 452-3394 Res: (612) 432-4993 If you don't smoke you should be paying a lot less for your auto insurance, your fire insurance and your life insurance. Our research has revealed that people who don't smoke live longer, have fewer accidents and fewer fires than smokers. So, Farmers believes you should pay less for this insurance than people who smoke. Call me today to see how Farmers Non-Smoker Discounts can save you money on your insurance*. Your Farmers Agent *EVen if you do smoke, you can still get a good deal from Farmers. • MEMBER FARMERSINSURANCE GROUP 12., Framing area = 10% of gross wall area. P3. uross wall area 3,5G?i 13 L5 ft.2 Window area A -?4 I D 2 ft. U windows U x A= Rim joist area A 1?d ro ft.2 U rim joist U x A= Door area A ?j (0 ft.- `p? 1 2 btpepfi3ce area A f 1l{?j ft. Exposed foundation A ? 7:7, ? ft.2 -T 9 Framin9 area A ft. 2 Net wall area A ,?. 109) ft. 14 15. ISA. 156 I5C. ISD U door area = U x A= U firepl-dre =U x A = U foundation ?-4" U x A= U framin9 area U x A= ??'?.'T,!. U wall = lo 4"3 U x A= /L (138) 70TAL . . . . . . . . . . U x A =11 i Gross wall area ?C 0.11,(A-1 single family & duolex (13. above) . x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (Over 3 stories) a 0??54x U Code - J ."_. . .'_ Ceiling framing area (Ap) equals 10% of ceiling area = allowable U x A/Code w?4?1 fBTUN Must be larger than ??-°F. 136 above ( or the same as) Gross ceiling area = (L) x(W) = I ??? ?z,5 ft.2 Joist area (Af) = 10o ceiling Net ceiling area (AC) (15A - U ceiling x A c= t0 'Z2 U f rami ng x A p= ? 073 -- TOTAL U x A ................. area = I 72? ft.2 158) ft.2 _ x _ x_ -7? . . . . . . . .. . . . . : . . . . ... . 16. Ceiling area (15Ay'x 0.026 (A-1 single `amily & duplex - code allowa6le U x A („ . _. x 0.033 (9-2 other residential) x 0.06 (other) A(15.4) I1 Ipi I Zs x U,(codel= _I????C?BaFN M(orbth1ersamehas)l5D?(ahove) NOTE: Use U and A values obtained from pages 1, 3 and 4. CER71F1CATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the bullding here described meets or exceeds the S[ate of Minnesota Energy Conservation Act. I Date ? Signature ? F WORLD LIFE INSURANCE COMPANY HOME OFFICE 3003 771h Ave SE, Mercer Island, Washmgton 98040 MARK C. THEISEN 3435 Washington Dc. Eagan, Minnesota 55122 Bus: (612) 452 3394 Res: (612) 432-4993 If yoa don't smoke you should be paying a lot less for your auto insurance, your fire insurance and your life insurance. Our research has revealed that people who don't smoke live longer, have fewer accidents and fewer fires than smokers. So, Farmers believes you should pay less for this insurance than people who smoke. Call me today to see how Farmers Non-Smoker Discounts can save you money on your insurance*. Your Farmers Agent *EVen if you do smoke, you can still get a qood deal from Farmers. . MEMBER FAqMER51NSURANCE GROUP 4??-l - ?ko5 NI N?k -2L-ffF? (IZ) ?? d0 x( GJD 10 , ZoCo X? e2o) =?? 'I z 3Z±t.g?z ?-?o4- Iu? = =- I?17z I 1 coF;Kn U ??T. J = ?- ' C?? - - c23 ? 127?2 = 2?1_ ?? Z3 --- Iz? I= I 2- G?I?-??° loX 1= f? ?? G 3?- = `Z?' K 1= D4- G3?, - 2? X I= zi?o ??P ?-2 ?- I ^ 24X ? - z ?- Af 4L 1 -?5 _ -72- X ? -- -7 2Ia ? w2-.e}- = 2.0 ?, I= Zd ,O P?p53o- 3 - ?r2X -tiF t n 1'??11-? - 2`?? I = ?d t ?_ co ?--- :- '`1, YJ?. ?. 2 4? FARMEYNEW WORLD LIFE INSURANCE COMPANY /08? HOME OFFICE 3003 771h, Ave SE. Mercer Island. Washington 98040 MARK C. THEISEN 3435 Washington Dr. Eagan, Minnesota 55122 eus: (612) 452 3394 Res: (612) 432-4993 If you don`t smoke you should be paying a lot less for your auto insurance, your fire insurance and your life insurance. our research has revealed that people who don't smoke live longer, have fewer accidents and fewer fires than smokers. So, Farmers believes you should pay less for this insurance than people who smoke. Call me today to see how Farmers Non-Smoker Discounts can save you money on your insurance*. Your Farmers Agent *EVen if you do smoke, you can still get a good deal from Farmers. MEMBER FARMEiiS INSURANCE GROUP , '"dALL • SEC?IOH stvo SECTIOH I :1ID VALL S£CtION ? a ui ' JO[ST -'lALUE • U VALUE Inslde alr [ilm .68 Idterior vall (pall) U . i Insulatlan . Sheathtng -Z,p(D Q 4,3 • I Slding . ? • .. . , -? • .?--- Outllde atr fllm R tOYAL Z'?.43 . Inatda-ale tlim ,gg Inkerioc vall ??3' • Aid seud (fa") R' .(,.??6. ?(Framing) U + a . Sheaching Slding .l07 •49s Outslda atr Etlrr t) Q 70TAL I b,g ? • . Inslde atr ftlm ' R- .68 InCarlac wall • , Ln'lulation ' .(Nall ) U . & . 31ii• tn Extartot vall ring . . Ext?rlvc alr Ellm' Il .?t?l • - \ ' 0. tDTAL ? inteclor alr (tlm Ru .68 _ inaulatton (?sDb • , l} lnah.eoft woud R-1,88 (Rim U ' Jo1st) _ Slieathing _ Exteclor wall cvvering ,fo7 ? . _ Extertor air Ellm • R+ ,11 __ ' . R TOTAL ? Ioteiloc alr Eilm Ra .68 ' . ? Insulatlott . 'S,Ub _ Foundaelon ( Z g • A •(Fdn. ) • U . _ Extaclor •lr Lllm , R° .17 R TOTaL . ?Esposad 9luck ^? F WORLD LIFE INSURANCE COMPANY HOME OFRCE 3003 77th. Ave SE. Mercer Island, Washington 98040 MARK C. THEISEN 3435 Washington Dr. Eagan, Minnesota 55122 Bus: (612) 452-3394 Res: (612) 432-4993 If you don't smoke you should be paying a lot less for your auto insurance, your fire insurance and your life insurance. Our research has revealed that people who don't smoke live longer, have fewer accidents and fewer fires than smokers. So, Farmers believes you should pay less for this insurance than people who smoke. Call me today to see how Farmers Non-Smoker Discounts can save you money on your insurance*. Your Farmers Agent *EVen if you do smoke, you can still get a good deal from Farmers. , MEMBERFARMEFSINSURANCE GROUP ? 3 • ? ?EILI1Iri 'a(iN 'IEfITP,II ATTIC SPACE A90VE ? 1;+ u- f RAt9l flG CE [ L l tIG i . n?.3 Air Fitm 0.61 [nsulatlon ft to Jalst , Ce111ng Atr Fllm 0.61 Ta ta; H_ U ¦ fi . ,b7z FL.4T AQQF OH CATII aAI CEILitIG R 9All1E FRdIIIIIG , CEiL[NG , a.61 , ?-? ?------_?__, •.,r_? . 0.17 Inslda a1r ftlm 4•61 CoIlin • Jnist Istu ?ntulAtian Ir tpm aoaf J4cking • Tnaulatian Bu1.1 t-up roof Outside air film 0.17 • Total R ? . . . ' ? . . ?•U 1lndow inflltration .5 cfm/llneal fooE of crack • ? lesidential door lnfiltratian 0.5 cfm/square foot or daor anJ minimum cade'raqulrement Icn-residential doar 1nPiltration 11.0 cf-in/1lneal foot af Crack 1b 12" concrete block na lnsulation ¦:47•R 2.1 . ? )b 12" concrete block insulated cores ¦.26 R 3.8 Jb 12" 1lglit,+eiaht 61ock ¦.]Z R 7.1 ••• ' lb 12" 1lghtweight 61ock lnsulated cores a.12 R 9.3 • • '• . 1 single glass.• 1,13; wlth starm,w{ndaw'.54 1 dauble glass ? :55 . • • J trlple glass • .41 • . , 111 exterlar waTls and ceilings must have a vapor 6arrier (0.10 parm max.). ;apar harrler must he on the lnsida (heated side) of +iall. . iapor barriers af the polyethelene thin film hav9 na R vatue. ! )I i . % , . . ' 0.61 .' F WORLD LIFE INSURANCE COMPANY HOME OFFICE 3003 77th Ave SE, Mercer Island. Washmgtun 98040 MARK C. THEISEN 3435 Washington Dr. Eagan, Minnesota 55122 Bus: (612) 452 3394 Res: (612) 432-4993 if you don't smoke you should be paying a lot less for your auto insurance, your fire insurance and your life insurance. Our research has revealed that people who don't smoke live longer, have fewer accidents and fewer fires than smokers. So, Farmers believes you should pay less for this insurance than people who smoke. Call me today to see how Farmers Non-Smoker Discounts can save you money on your insurance*. Your Farmers Agent *EVen if you do smoke, you can still get a good deal from Farmers. r . ' MEMBER FARMERSINSURANCE GROUP i / ~ i l~; L _ ~J I 3 3.19 ~ _ NORTH 4 ~ . I - I86.97 ~ ~ - - 0 4Z03 - ~ ~ p i . ' - - - , - ~ O t~ ~ - y ~M ~5 o tQ ~ ' ~ d' o a~ ~ ~ m ~ 2 i ~D c~ ~ 2 2~ v az5.3 2 ~ ' - - 2 2 ~ , 50.00 ' ' ~ ~ ~ ~ TH p W ~ ~ NOR 0 ' 1 h' ~ ~ p9 0, o ~ ~'o, ~ s; 3~0 ~ ~ ~ F ~ . ~ X826. 3 . ~,9 Y / ~ 828.9 ~ ' . m X, ~ ~ ~ 6 5`~ • 3~~~ p M ^ \6~~~ ~~F~ S~/ _ ~ ~ p X C+~ ~ ~ - ~ - . .F~ o ~ ~ _ _ . . . - ~ , _ ~_~.w,, ~ .r.. ~ ~ --t-- ~ 1 3 •s 0 ~ / o a 'h 2 ~ ~ f~ 0~' 6`,J ---------_-~9 ~ X s28. ~ X 6 i o_p 2 ~ ~ ~ ~ ~2 s y ,o p 1 i~ p OS~ 6' ~ ~ ~ ' ~ v 'c9 6' GS t~` p S~ ~22 i p'sa F~ X829.4 1 841.52 ~ ~ ~ ~ e ~ , ~t ~ 6 42 `C , / g EXISTING k ~ ~ ~ U ' _ ~3 p0 830.2 2~ ~ot~ o ~ ~ . ~ 3 I HOUSE ~ ~5 ~i7.6X ;._,320 ~ 1 ~ _ ; ~ ~ i~ ~ ~ ~ 8 ( ~ ~ ',;3. / 42 ~X 1 ~ G ~ , _.__~J 6 0' d ~ c I n i ~ 838.2 X~~' 2' ~ O c'j.~~' a' 0 ~ ~ ~ N53 26 43 IN , 9 g. 3 1 e _ ~ ~P 'X 837.7 9 p C~ k ( , , 29.23 ~ ^ / , / rC ~ 2~ I I? ~ p p~ ~ ' ~ v, ~ ~ a v ~ - ~ 843.OX 0y'~ / 5~~ p, ~ ~e ~P l~ ' r9fl0 6 32' ~ Q ~~~`T - ~ ~ UENOTES PROPOSED SURrACE Df~A1NAGE 'p.~j o~` ~f 38~ - 0 UEIIU1ES IIlO~~ MUNUh1[N~( 5ET SCAIE; l INClI ~ 40 `S s ' 83e g39~eX 1 M NUM~P~T FUUP~U ('f~OPOSEU GA(~/1GE FLUUIt ~ 1 INcii - 30 rEcT ;E rLOOR _ a 4os FEEY ~ S~t ~ es • UEPUtES if~ON 0 8 s42.z 90 '0 ~ s ap ~STiN~ X000,0 UENOTES EXISTING ELEVATION PIlOP05EU LUIdEST ~LUUII ~ b ;-r rLoOii n s..,, rEEr x . 3g~ EXOUS~ ~ pIZOPDSEU TOP Of ULUGK ~ 2 H (UUU,U) UEI~UTES PROPOS~U ELEVATION ~ lF BLUCK - 8 4--D,9 FEET, ~ ~S~> ~ , ~ ~ 840,0 ' ~ - ~ i IIEftEAY GERTIFY TO ERUCE BREKKE TIIIIT T1115 IS A TRUE ANU CUftl 'RUE /1NU CU(2RECT ~ 4_/ REtIIESEI~TATIUfi UF ll SURVEY UF TIIE UOU~JUAIZIES U~: 8 1.6 ~ X841.1 ~ ~ ~ din to the recorded Lot Block l, ROSE HILL ADDITI fl, accor g ,ecorded lat thereof, Dakota County, Minnesota. P . I11IU OF TIIE LUC(ITI~~I UF A PROPOSEI) pUILUING, IT DOES NUT PUf1PUll1~ TU 51101~! l~ ZT TU SI101-! 1Pin(tOVEI•1EfdTS ~ xa4~o ~ 0{t E~ICROJIC11~~1~~~TS, IF ANY, TfIEREUfI, AS SUf~VEYEU bY h1E, 011 UI~~UER ~~1Y UIIIECT ' t MY UIIIECT SUPE(tV1S1014, ~ ~ TI I1 S I~ UAY UF 1 y8~7, , ~ , SIG(JEU; JAI~1E5 ft, IIfLL I~~C. , lC. REVISED 6-24-87 / i~ f / ~ j ~ ' DY ; ~ ; ' ~;,~~P,~ ~ ~ ~ IInnOLU C, PETE(1SUil, LAiI~ SUII' )11, Ln111) suIivEvoIi ~ ~ Pi11JlIES01A LIC~~~SE I10, 12294 _ 110. 12294 P QJE N B OK / pAGE ' UN 2 61987 ~ cr o, o . J E a 1LL, AM~RH , R. H1LL~ INC. ~ ~73~(? 2 3 8 ~ 2/ ! PI E ineers ~ anners / ng / ~ lfneers / Surveyors . . FILE N0. ' . ~ 8200 Ffumbofdt Avenue ; )tdt Avenue south _ _ Hiooinfngton, Mn. 65431 812 I 87 170 , 65431 612-884•3029 . 41011° C! of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit ( #: (/ 0•53 Permit Fee: 0 Date Received -A-44- 13 Staff: 2012 MECHANICAL PERMIT APPLICATION Date: Site Address: T` I `1 �C" YIsOi C) (,6 Tenant: Suite #: RESIDENT / OWNER Name: 1 1 `CkirSYl CI -COOC Phone: Co 5-1- 30 `it _c"'2 j -C, Address / City / Zip: '3 0 kill ° ( ( re,,c4 ,`A CONTRACTOR Name: ' * 1(1 T r ) 0. ` (`_ / 1- 11rn License #: [✓ (. / Address: 71-L1 1 CO ki 'fLtA.2's -i 0- IN) City: /4/6 G rt +'- _ ,/� 1 5-.5 --.70 ��i ) State: I / l!W Zip: �Phone: 1 b 3- L-( O 7 0 Contact: d\-- Email: TYPE OF WORK New Replacement Additional Alteration Demolition X Description of work: NOTE: Roof mounted and ground mounted`mechan c l equipment l aired to. screened b •; ity °: Code. Please contact the Mechanical Inspector for inform a# r ron pat #ed sci ning methods PERMIT TYPE RESIDENTIAL Furnace '')C Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ C TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.nopherstateonecali.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printetd)ame FOR OFFICE USE Required Inspections: Underground Rough In PERMIT City of Eagan Permit Type:Building Permit Number:EA115987 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 3740 Knoll Ridge Dr Lot:8 Block: 1 Addition: Rose Hill PID:10-64600-01-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . James Hunter Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marcia M Brekke 3740 Knoll Ridge Dr Eagan MN 55122 (651) 308-9270 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature To: City of Eagan • I Page 2 of 4 2014-01-29 19:33:14 (3MT) 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 16124542730 From: Chris Janssen Use BLUE or BLACK ink For Office Use ?,(� Permit* � 014"3g Permit Fee: tic) .31° a/ii/iy Date. Received: Staff: boom 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �,�—/7-,tj' Site Address: ? l-2 / )LLQ ,J6/ i- - : Unit #: Resident/ Owner Name: /.4/7'.<%%.►' /��--r�•z.— Phone: Address / City f Zip: .2 ..-0 Applicant is: Owner Contractor Type of Work Contractor eoalekizoee Description of work: Z.; �� / /�1.•�� r, • Construction Cost: /4"�;c' Multi -Family Building: (Yes / No ) Company: //l'� -C . Address: City: �i'✓'<er' State: /0/, Zip: `i r Phone: L°�2,' License #: ''' �-- '"�_,.. .-r•�Cti.--� Lead Certificate #: %%/Jff /•/�� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? _Yes No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Flans and supporting dominants that you submit are considered to be public information Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are bade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that t understand this Is not a permit, but only an application for a permit, and work is not to start without a.permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State B days of permit issuance. e must be completed within 180 Applicant's P Name Page 1 of 3 To: City of Eagan Pogo 3 of4 2014-01-29 19:33:14 (C3MT) 3 -/co Kt/70 I/ Ridq DO NOT WRITE BELOW THIS Ric/1w 16124542730 From: Chris Jonsson /020,13g - SUB TPES Foundation Single Family Multi 01 of __ Plex WORK TYPES New Addition 4 Alteration Replace Repair — Retaining Wail Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair DESCRIPTION Valuation Pian Review (25°!0,__ 100%4 Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building' Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy L j` MCES System Code Edition , 0-7 SAC Units Zoning 1 City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Footings (Addition) Foundation Roof: Ice & Water Final `1( Framing I Fireplace: Rough In Air Test Final _ ( insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: 11/ Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings : Air/GasTests. _Final Drain Tile Siding: _Stucco. Lath Stone Lath Back Windows Retaining Wall: , Footings _ Backfill _ Final Radon Control Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 14-649'"(411"' 6 Page 2 of 3